Provider Demographics
NPI:1356214829
Name:KN LEGACY HOME CARE LLC
Entity type:Organization
Organization Name:KN LEGACY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DURGA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIROULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-325-7391
Mailing Address - Street 1:24492 E ATLANTIC DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6210
Mailing Address - Country:US
Mailing Address - Phone:720-325-7391
Mailing Address - Fax:
Practice Address - Street 1:24492 E ATLANTIC DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6210
Practice Address - Country:US
Practice Address - Phone:720-325-7391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care